Individual
CHANDRA GIRDHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(770) 918-3000
Mailing address
850 ORMEWOOD AVE SE, ATLANTA, GA 30316-2435
(305) 814-3253
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
078583
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304447500
—
FL
01
—
430064761
RAILROAD MEDICARE
—
01
—
G2853
BC/BS FL
FL
Enumeration date
02/16/2006
Last updated
10/05/2016
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